Individual
DR. KENNETH R DUNSTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS, MSD, PC
Contact information
Practice address
2050 N BUTLER AVE, FARMINGTON, NM 87401-4201
(505) 327-5057
(505) 327-0330
Mailing address
2050 N BUTLER AVE, FARMINGTON, NM 87401-4201
(505) 327-5057
(505) 327-0330
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
991
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007350
—
NM
05
—
B8178
—
NM
Enumeration date
04/06/2006
Last updated
07/09/2007
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